Most Relevant Information
Provider Data
| NPI Number: | 1003183567 |
| Provider Name: | VIVIAN DELORES BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2011 |
| Last Updated: | 11/28/2011 |
Provider Practice Location
1551 FORUM PL
BUILDING 400 D & E
WEST PALM BEACH
FL
334012319
Practice Location Phone/Fax
| Phone: | 5616168411 |
| Fax: | 5616168412 |
Provider Mailing Location
1551 FORUM PL
BUILDING 400 D & E
WEST PALM BEACH
FL
334012319
Provider Mailing Phone/Fax
| Phone: | 5616168411 |
| Fax: | 5616168412 |